CT-guided percutaneous treatment of solitary pyogenic splenic abscesses
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Six patients with solitary pyogenic splenic abscesses treated by CT-guided percutaneous drainage (by catheter or needle), are presented. There were 3 unilocular, purely intrasplenic abscesses and 3 complex lesions with loculations and perisplenic involvement. Percutaneous drainage and intravenous antibiotics were curative in 4 patients. In the other 2, who had multiloculated abscesses, despite initially successful drainage, splenectomy was performed because of intractable left upper quadrant pain in one case and persistent fever and drainage of pus after 30 days in the other. These patients also developed large, sterile left pleural effusions.
Solitary pyogenic splenic abcesses — particularly if uniloculated — can be effectively treated by CT-guided percutaneous drainage.
Key wordsSplenic, diseases Splenic, abscess Abscess, percutaneous drainage Tomography X-Ray Computed
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